DR. JUDITH GRACIA GRAVES (NPI# 1215037833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215037833 |
Entity Type | Individual |
Full Name | DR. JUDITH GRACIA GRAVES |
Credential | M.D. |
Practice Address |
397 Whites Hill Drive Van Alstyne TX 75495 |
Mailing Address |
1000 Fm 300 Levelland TX 79336-6235 |
Practice Telephone | 2147337985 |
Practice Fax Number | 2147337985 |
Mailing Telephone | 8068947842 |
Mailing Fax Number | 8068943378 |
Enumeration Date | 2006-09-24 |
Last Update Date | 2018-03-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | J5158 | TX | Allopathic & Osteopathic Physicians |
Street Address |
397 WHITES HILL DRIVE |
City | VAN ALSTYNE |
State | TX |
Zip Code | 75495 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982262614 | Darshna Shahiwala | Nurse Practitioner | 920 W. Van Alstyne Parkway, Van Alstyne, TX 75495 | 2019-05-29 |
1841761806 | E-authority Inc. | Durable Medical Equipment & Medical Supplies | 225 West Van Alstyne Parkway, Suite 6, Van Alstyne, TX 75495 | 2018-12-16 |
1164942272 | Expecare, Lp | Clinic/Center | 920 West Van Alstyne Parkway, Van Alstyne, TX 75495 | 2017-06-21 |
1316373525 | G. G. & W. Health Services, LLC | Home Health | 260 East Marshall, Van Alstyne, TX 75495 | 2013-09-19 |
1679914196 | Town and Country Home Care & Rehab, LLC | Home Health | 178 S. Main St., Van Alstyne, TX 75495 | 2013-07-12 |
1891134912 | Texas Medical and Urgent Care Center Pllc | Clinic/Center | Rear 954 Van Alstyne Parkway, Van Alstyne, TX 75495 | 2013-06-21 |
1205129038 | Mika Sue English | Pharmacist | 232 East Jefferson, Van Alstyne, TX 75495 | 2011-05-26 |
1780988444 | Bryan Kelly Kincannon | Physical Therapy Assistant | 632 Windsor Way, Van Alstyne, TX 75495 | 2011-01-10 |
1598080640 | Luv Medgroup LLC | Durable Medical Equipment & Medical Supplies | 162 South Main St, Van Alstyne, TX 75495 | 2010-04-01 |
1194962324 | David W. Schatz | Pharmacist | 209 E. Jefferson St., Van Alstyne, TX 75495 | 2009-01-09 |
Find all providers in zip 75495 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
Find all providers with the same taxonomy |
City | VAN ALSTYNE |
Zip Code | 75495 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.